| NPI | 1629498308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2009036412) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180010629) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2021-09-21 |